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HomeMy WebLinkAbout94-00041 I: ':.1' " I' ,,, " " " " j" ., , ",' ",' " " , '" , " ~:: ' " , "I ",\ "'. \','.: "[\:',':\ ,:1' " " 'oj' ,( ,\F,' " ':j" " '\' I ,,' I" " , :",r:' '(, " 'I 'I;' !' H' 'j, " !(, ,', ....1,. I ~ ,.., '-11.- /3 "" I. "'1':(' " N6. "" \,1, .',: " "~I' , , I' " " " (', I, I \'.' , I" " I Estate 'oF / Afflt" ;Q l~~L$t) ""?2Fpr,~.//},)1JJ~A/~~ jJ If r;';." kN, )~~<.l1J' I, , , ,,' " I': I' '1 ','1 , , !' " /', , ~,.', F' ',' '.'. , " ("\, I' " "I , ~, I.. " .",' , ", I' '" ,/.:' , .. l'" I, " , " ,', ,(,,' " " '11,,'1.'.-,;;,;, ""'1;', ",\1,' J", ',',!',J r', ,:i' '1','1' ll;" ',:1, ~, " I /' ,I " ;'1 " :',':, " " ,1'!"./1 t', ':,1' , ".: I ~, i .1; , r, ,('.", .,,;> " " ~ I ',.-" <" '," '" 'ii' , .. "1 'I, " i",t I", \ 'j I" ,.I, 1"'\\;" ,1,\' " 'I; , , ,,);,/,; l'I:;;,,'dJ\' j/, ,,' " ,I I, h", ',II ,,'1 " Ii; i" : 'II' /,1\ ',. ;f1,11 ," ", :'1 l ' , I ~ \ " ", , " , j'",I: ,I; i i ., , ::;"l,'" ~: """'1' \1'\ ',1' ":'1',1'" I I , " " ,I 1';'1\1 "11 , ' , ,'," ~ i, ','1, ,'" I', .'.' /I', " Ii. ",'i. ,; It',',,,' i 1,1 I' ii' ,,' ,I .1\ ," " d' Ii' i '11,,\ , '" 'I' 'if '" ,I \' \," I. ,,' "ii, " .", " I' ,,' ,;,01:1" , .. " " ,'., ': , ,.'1 , .', , I, 01' " ':', '1':lt' , ,I " e-. PETITION FOR GRANT OF LETTERS 01' ADMINISTRATION Estate 01 -geo..!.~~_~emuta 01.10 known a,! No, -.e21.=.!1!:1: - t.f / To: Re~IMer of Wills for Ihe Counly of _Cu!11berland in Ihe ('onunllnwealth of Pennsylvania ----'--'-- ._.__._---_.~--_..._- --,-.--.,.-- lleC'rtlwd. Social SeC'lIrlty Nil, _l!!l.-36-:)..Q.~____ The petlllon of the undersigned respectfully reprelents that: Your pelilloner(I). who Is/arc 18 years of age or older. applle.tl_,___ for lellers of adminlslratlon ___u_ -.-.-.-...---___..._ ____ on the eSlate of (d.h.n.j J1ClHknlt' Illr; c1urnrlle atHt'nlla: duranle lllilll1r1lill(" the above decedent. Dececent was domiciled at death In ,_J;I.!_I]l~!l~,l\iL____.._,_._...... Coullly, Pel1l11ylvallla. wilh h is last family or principal relidence lit __New .lillmb~U.!lJl(!L.!'.!'_l!.ll.'DClva,!!ia 223 12th Street 11I,( ,treel, numbor. Twp, n, 11010,1 Decedent, then 46 years of age, died ,-')ece!!lbeL~ 01 223 12th Str,'!..~.t:.L_New Cumberland, Pennsylvania 17070 .19 93 Decedenl at death owned properly with eSllmated values as follows: (If domiciled In Pa,) All perlonal propcrlY (If not domlcllcd in I'a,) Personal properly In Pellll'yll'ania (If nOI domiciled in Pa,) Personal properly In ('oumy Value of real eslale In Pennsylvania situated as follllWS: s s s s I)~ C'c'C' , C'c~ , Pelllloner__ afler a proper search hlllL_ ascerlained Ihat dceedenllefl no will and was survived by the following spouse (if any) and heirs: Name Relationship Joan L. Semuta Wife Hichael L. Semuta---- Adopted Son--- Mia E, 8enson" -, Daughter Megan C. Semuta Dllug ter Residence 223 12th Street, New UNKNOWN UNKNOWN UNKNOWN Cumberland, Harrisburg,PA Kansas Goldsboro, PA ---- THEREFORE. pelllloller(S) respecl fully reque.sl(s) the grant of lellers of adminlstrallon In the approprlale form to Ihe undersigned. f '0_ 'fl.:l ~,I ~'H .... 'l1~ ~Q ! in , 1') rtt-- .:.., i'&tli'1 :J:..'.JL; Jj 11./, I~' 'Joan L,"Semuta 223 12th Street New Cumberland, PA 17UIU ---------- ----- OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } ss The petltloner(s) above-named swear(s) or afflrm(s) that the statements In the foregnlng petition are true and correct to the best of the knowledge and belief of petltloner(s) and that as personal representatlve(s) of the above decedent petltloner(s) wlll well and truly administer the estate according to law. Sworn to or before me this uar -#Mf:1 I ~u?fJf/~ J affirmed and subscribed 12TH day of "J ifJ'? 19 9/,,_) -~~ IS1~o::t: R Is '0.; eg ler I'-J Ei~ ..0 t.J '" . I ~~EstaR of O~ ?1 - 94 - 41 No. George D. Semuta , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW January 21. 19...9L, In consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me. IT IS DECREED thai Joan L. Semuta Is/are entitled to Lellers of Administration, and In accord with such nndlng. Lellers of Admlnlstratlon are hereby granted to Joan L. Semuta --.-., -----...---.---,. .._~ In the estate of Geor~e D. Semuta {: {l"-J--L' ) Re'hierorw~ MARY C. LEWIS PEES 25.00 Lellers (If Administration ..... $ Short Certlncates( 1JJ.... . . . , .. $ ~Q 00 R~lIunclatlon ................ $__ JCP . $ 5'~8 TOTAL _ $ 60. Flied""" "JMV~RU.1.., )\.1/ 19-2!. John H. Broujos 06268 ATTORNEY (Sup, Ct. I,D. No,) 4 North Hanover Street, Carlisle, PA AnDRESS 717/243-4574 PHONE Called attorney on 1-?1-94. ,..., rxolOl30 P. Deoember 5, 1993 I ' .......... ............"'*"MloIMd....... OoI'lOl"""N",*..~__.._.........,IMIt,""''''heM'''''' UIl..,...c.IUN..Mdlh. :::~ _.....,... =':.=:"__ . Carbon Monoxide Intoxioation i DlJlTOlOAA.!IACON$(OUf:NCtOfI !::..~~ MlO/Oft....ACCMt:OlAHClOf): I~.:s:-...., <--......IOA...""""....""""" !:"tl.:;.n,... ... ..0 ~ - -" '*1tMrf."'~_.,.M .. , 1C:1~ : 'tlCiIMAHOCM1YYIIIPM'l'IICI&M~CoflptOl'f:UU'VdMlhrQ~lI;c-..~~ ..1lIIt...~,~....,...........,....,.....,w.......tIWtIlIl.,......,.........."",.,,.,' ,.', ,,'" ."" ..K1 Inhaled Auto Exhlult Fum.. in Oanao (Ucrll,llttlM'l _. 0 _ 0 Doc.5,1993 Unknown __ 0 ......_ 0 '" 0 No 0 vt I'\ACI .,......,...11\.......".- I...... ~ 0 CcoMfiIOllM"'-lIWll r4 ~.l%<<frl Home ".._"'!~~~k:~-=~~.::..-=-.::::=~,~~~~~,~~l...".........,.,,"" 0 H , I ; 1:':"".J:'-'-- I "':'..~,~~~;:,..:,:..:~~,~:~~~~~',~:~,~:~,~~~~~),~ i~=-P~~7 ~ o ......IKJ (lIlImll'T'I'P'01' New Cumbarllnd PA Coroner ..., Deo. 28,1993 . MiQhael L. Nor~i.,Coroner 405 Fa rWaY Dr1ve Mechan oBbur , Pa. 17055 .., oM N. M. .. NntlollHllullk ('lIl'd HIII'\'kl'll Hunk( ~Ilrll Spl't'lnll ~llIilllH 1', ll, 110' 1~1I11 Norfolk. VA ~ar,()l '1'1,1 Hill naa,7:lIIl I'll' HI).! naa,7r,r,;\ HIIII.J.II,IHIIJII cJ 1- tN - t! I Natlon.lank PROBATE COURT STATE OF: CUMBERLAND COUNTY OF: PENNSLYVANIA March 3, 1994 IN THE MATTER OF: GEORGED, SEMUTA CASE NUMBER: 1994.(10041 P,A. 2194-0041 STATEMENT OFCREDITORtS CLAIM NATIONSBANK P. O. BOX 1290 NORFOLK I VA 23501 ATTN: SPECIAL CLAIMS (800) 441-0060 Ua8ls of claim: (')(j r.i'f' ~' ['. \Q '" :.u :1;101 ((, n -". ~.:' "\ " 5142130001905620 -~ it ~ Total Amount Due: $6,78347 ;r.l Date claim will become due as SOOI1 as possible Til ;t-" .: ~ <.)~ ,',1 0\' " ih'o .... Nature of uncertalntv as to amount of claim and due date, If any: . . Descnptlon of any security as tD claim: 10: 56-0906609 By: Q L~ D'.Ar...J .JUl$y BA NE OFFICIAL BANKCARD RJ<~PRESENTlVE --._--~--_. lNS1'ltUC110NS: 1\'-'" maMllof)' (orm ar ''''Itmt'8\I, Cialml fikd by !lthrr '"1lN mUll be ICCtllhf'lnltd by thlleta\cmtnl. OcUve, Ct, mall. (OflY to Ihtre I"cnoMl RtpreatnUvo 'IlpolnlM to Iillmln.latcr lho ulAtt Ind Ok . ':iW' or Ule clllm a'\d thtl.I"leUI~nt wUh tho l'foba14 C"urt or Ihlt count)' Oft or bcln/'l! lhodl\.c that M rCXltlllOl1lM .1\(, Ihlldllll orthr. rrill vubll..:..Uon h)' the t..tllt or III NOlltl1 to Crodllan {twllv... monlhl mlt\owrd .. to ;~~M raundtd upon tort _hkh lruee bc!rllfc Ihr. dtlth (lr l.ht .Jtce-Jtnl). I e" the ""llId fUI ~1I prtllenlriOon or tlalt'l\ll. " v 'lalluro or \he PtOOGlI Mtp1'Cottfl~Uvc 10 mall. nolke kll mdllM (.f Ih~ lllllllt'lllCO nt 1M dlMllo\lrllK'C ,.( the l;ulm "" llhlt, 1hI1\)o d.y. ...he, "'" end or tJ,t' peri()tt (at tho f1rtACnlrilJon o( d14 elallM h.u tho eff<<1 (I( l ftO,r k\" Ollllllkl'lo'ln<.C' llilmln, 1m lhc rlllm" lth Utll't.wln. hit. Th'I"w PlQvrlM Lhal. ..l'IXIilo' hM ur" to thirty dl)1 (ro", dlalllnwlII<<(wh:thu II ocrun b) tIollj~'Cl of JIIIUo,,',n:o or by r,/lult'of 1hC' 1'~"()n,1 Rt'I'l'ftefllltJw. to like 1,,1.Koq lilt lI.., dllm ... dtICrlbta Ihou) II' nk ,~UOOn rOt the .11ow1ll:e "f the' clllm ((OIm ')7]l'C) In the I'rubalt amu' or 10 CCllllnl~TI(e . f111'CC'Ollln. llO the ,,!.Im '~IIMt Ihr,I'crton,1 ~tpfr6fnl.lh'e, f,lIlnl v.hl.:h 1M ~'rtJIIOl." c:I"lm " b'R\-d tn the de'rtl\ not ,1!I(lwt<1 'I, : i\11'llllul" 1"1)((' ,.. ,i"i,1 ';" \ , .. ~ REV-1547 EX AFP (08.94'. ;II -II-;' II 1 COMMOHWEAl HI OF PENNSYLVANIA ANI 01 OEP'AlK[Hl OF A[V'HUE NOTICE OF INHERITANCE TAK 0 'UAEAU OF IH01VIOUAl ,,'" APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ~~~~~~~~; ~~~6~~~~___ . ~_ Qfi"R"G =T~:~E_~UCT:~:~~~,~~~~~~~TF~;~:~~. ~~~1 ~::~:~~ DATE OF DEATH 12-05-93 OOUNTV CUMBERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITtI YOUR TAK PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REOISTER OF WILLS, AGENT" REMIT PAVMENT TO: JOHN H BROUJOS ESQ 4 N HANDVER ST CARLISLE PA 17013 c. ~ REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 r An~_nt R~tttod ] CUT A~ON~ THIS LINE ~ RETAIN LOWER PDRTION FOR YOUR RECORDS ~ R 'EV: isr.',' fiC' A F p" f 0'8-:94 Y - No'fi c r -6 F - "iN'HE iiiTANC E' T Ai( Xli PRXi S E if ENT~" A L. l"6wA'Nc E - i:ili............. - ..- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SEMUTA GEDRGE D FILE ND. 21 94-0041 ACN 101 DATE 12-12-94 If an asseBBment was iSlued previoully, linll 14, 15 and/or 1&, 17 and 18 will reflect figures that include the total of ill returnl alle88ed to date. ASSESSMENT OF TAX: 1fi. .nount of Uno 14 ot SpoulO1 roh 1151 lb. Anount of Uno 14 h"b1n ot Llnoo1/C10.. A rot. 1161 17. .nount 01 Uno 14 to.oble .t Collohro1/CIoII B roh 1171 18, Prlnolpo1 To. Duo TAK RETURN WAS, I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1. Roo1 E.ht. ISohodu1. A) III 2, Stook. ond Bond. ISoh.dule BI 121 3. C10101y Hold Stock/Portnor,hlp InhrOlt (Sohodu1. CI 13) 4. Mortgog../Not.. R...lvoble (Sohodu10 01 141 5. Cuh/Bonk D.poll to/Mho. Por,on.1 Proporty ISohodule E I 151 6. Julntly O.nod Proporty lSohodulo FI 161 7. Tron.foro ISohodulo 0) 171 8. 10tol A..oto APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funarll Explnlll/Adlt. Co.tI/Hha, Explns.. (Schedule H) (9) 10. Dobh/Mortgogo LloblllUu/Llon. ISohodull II (10) 11. Toto1 Doduotlon. 12. Not Voluo of Tox R.turn 13. Chol'lhb1./00vornm.nhl Boquo.h ISoh.dulo J I 14. Not V.1uo of E.ht. Dubjoot to To. NOTE: TAX CREDITS I PAYMENT DATE RECEIPT NUMBER DISCOUNT I + I INTEREST 1- I I CHANGED ,DO ,00 ,00 ,00 7.096,18 ,00 .00 IBI 7,096.18 10,221,SO ,00 1111 1121 1131 1141 1 n ,"1 KiD 3,125.32- ,00 3,125.32- ,00 ,00 ,00 K .00. K ,06. K ,15. 118) ,00 ,00 ,00 ,00 AMOUNT PAID ~OTAL TAX CREDIT BAL~NCE_OP TAX DUE INTEREST L_, TOTAL DUE . IF PAID AFUR DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .5-,,)/- / ,00 ,00 .00 .00 IF TOTAL DUE IS LESS THAN U, NO PAYMENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU MAY BE DUE A REFUND, SEE REVERSE SIDE OF TIllS FORM FOR INSTRUCTXONS.) RESERVATION I E.t,tu of dla.dlnh dvlnlan or blfor. Dlo..b.r 12, Ull2 "" If tny futurl JMt.rut In thl utlt. II trln.ferrld In rOl....lon ar IMjoY"lnt to CI," B (collat.rll) blMIHoled.. of thl dleld.nt ,ftlr thl IKPlrltlon of Iny I.t.tl for llf, or for yur., the Co..onw."lth h,rlby IKPr...ly rllllrvu the right to appral.. lIInd ....u trln.flr Inhtrltana, TIM" at tkt 1awf",1 ell.. 8 (coUthrel) rete nn any .ueh futurl lnt.rut. PURPOSE OF NOTICE I To fulfJll thfl r.qulrulnh flf Slatlon 2140 of the Inheritance and Eltat. TIM AIlt, Aat ~2 af 1991. 12 P,S. S,oUon 21U, PAYIOENT, Dehah thl tap portion of this loIotlol and lublllt wlth your paYlllnt to thl Righter of Willi prlnttti on thl rlv.r.. .Ide. ~~"Ike chick or lIon.y ordlr payable tOI RtOISTER or HILLS, AOEN't All ply..ntl rlellv.d .h.ll flr.t b.. Ippllld to Iny Intlrut which .ay b. dUI with any "Ialndu appl1.d to thl t'M. ItEFUMD (CA), A rlfund of a tlM erldJt, which WII not requllt.d on the TalC Rlturn, lIa1 bl r.quuted by eOlpltUng an OlAppl1c.Uon for Rlfund of Ptnnllylvanl, Inhtrltanlll and E.tatl ToM" (REV'15U), Appl1catlonl ar. avallabll It thl OffiCI of thl RIolthr of Will., .ny of thl n A.....nut Dlltrlct Offlllll, or by calling the Ip.olal ZlI"hour anlwlrlng urvle. fltJllbl,. for for.1 orderlngl In Plnnlyl....nla 1-800-56Z~Z050, out.lde P.nnlvlv.nla and within local l1arrltburA arll (717l 787-8094, TOOl (1UJ 711-lZ5Z (Hearing hlpalrtd Only). OBJECTIONS I Any PlftV tn Interut not ..t"fltd with th. appr.IsI.lnt, allowancl or dlsaUcwtne. of d.duoUon" or ......Hnt of tile (Including dhcount or tntarut> II .hown on thlt NoUc. 11\11\ obj.ot within lilCty (60) dlYI of rlll.lpt of thlt NoUc. bYI uwdUen pro'"t to thl PA D.part..nt of Rlvenu., loard of Appuh, DEPT, 281021, tltrrllburg, PA 11128"1021, OR ~~.l.otlon to h.vI thl lIIatt" dthrllllnad at audit of the nceount of the p.rlonal rtprulnhtlll., OR "app.al to thl Orphan,' Court, AONIH "TAATlVE CORRECTIONS I FletUl1 Itrort dhcCVlrtd on thl. a........"t Ihould ba addr....d In writing tOI PA D.p"t..nt of A.v.nuI, luruu of IndlvJdutl TaMu, "'''HI POlt hlla"'tnt R.vll'" Unit, DEPT, l8060l, Itarrllburg, PA 171Z8~0601 Phon. (111) 187~6S05. S.. page 3 of thl bookl.t "Inltruotlonl for Inherltanc. TalC R.turn 'or a RIsldent D.o.d.nt" CREY.1S0lJ for al1lleplanatlon of al1.lnlttrntl...ltv Ilorrllltebll "rCrl, DISCOUHT, If Iny IBM due II paid within thr.. (3) callndar Ilonth. nfttr th. d.eldtnt'. dllth, a fl..., ptre,nt (5:<' dlteouot of thl tllC paid It allow,d. THIEREST, lntlrllt II ehlrgld blglnnlng with 'I"t day of d.lInqulnoy, or nlna (9) lonthl ond onl (1) dlV fro.. thl dot. of dllth, to th. dltl of paVllltnt. T.... which btnll' dlUnqulnt btfor. Jlnu.ry 1, 1981 bear Inttrllt It the rite of ,1M (6:<) pero.nt per annuli o.lcu1attd I'It n d.llv rat. of ,000164, All talC.. which bloa.. d.lInqulnt on IInd ,fter January 1, 1982 will bltr Inttrllt at a ratl which will Ilary frail cahndar 'I tar to eallndar y." with thlt rlt. announllld by 'hi PA D.p.rhl.nt of Rtvonul, Th' applloable Interllt ratll for 198Z through 19911 arl' '!!!!; Interllt Ratl Dally Intlrllt FlIlltor Vur Intarllt Rllt. Dallv Inttrl.t Flotor 1982 lOX ,000546 1986 10;': ,000174 1981 IIX .000418 1987 'X .000247 198. 11;: , ~005nl 1985-1991 11% ,000501 1981 llX ,OO05S6 1992 9;': ,000247 19l)]~ 1994 IX ,000192 1995 .X ,0002.7 --Int.rut II caloulatld .. folloWl1 INTEREST . BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINqUENT X DAILY INTEREST FACTOR ~~Anv Notlc. IlIu.d ,fter th. tal( bloo,,, dlllnqutnt will "fltet IIn tnterut Ilalculltlon to ,lftltn (15J diY' blvond thl dlt. of thl au..t..nt. If ply..nt II .ad. afttr the Int.rllt COllputltlon dltl thown on thl Hottel, .ddltlonel Inter..t lult b. cllcultt.d, " ", " ., " '1- Oit/)\, 'f'};'~'" \'. ~.,! " t-.J:!{:, ~ K1J ijj~ a: ,.,., :, ",' " " . 0, I ~, 'p( , " '" ';,1 ,\ ',I ," , ':1' f',. 1,lr, " ,\ " ". !. , " ,.I' " '1,1' \0 'l'l '.,4", \\. t::!l1': '''1 a;; " l) . ,']'" , , C; , ) , -t.; ': 1\) ~~' 0',1 .-" " ,. ,.. , I. :" I', I,!,.'. " , i ~ ',.' " '/;'1 I'" ". ,t,l"'! .' ,. "I. ". .' " " " 'H ',. ',; I: " " " ':' " " , ' " I! , " , , " ,. ,j \: " ':",. l.. \ \' ..'~ , , " " " ., I' " " ,,' " I p " I ' . ( I ~ ;,' ",1'1 Ii' " ill'i '.: , ,. " ',' . , t, ,I' '''1,(, " ,. ,1'" .' " " " , , I. 'I. I' ~ ,j'" ,I",:j\ "1, J' I., "(iU' \ (. '" " . 1 "I' " ".'1, .' " . ". " ." '. , " " , , I!' "'11 " , "', . , 1,1.1"1 '1,1'1, " " . , , i ." " ',Iil,. 1,Ii " ,- i" ,1;\'\; "l't, '" " " '" " \, I" I , " ;.1, ", , , " .' '> , '" ''''I, " ,ill ., , ii' '. ,"j ... " :, ,',,1 " "1\' '.' 't'\ '\1 '.I' ,': " .:: ,'.\, " 'I', ,~ l' I. ,j' " '.)" II j,' "I '.I','.li ;1'" 1,1 'I' , " ;; , " ,. " '" ". 'j, "', {" "') " ,ll" j'I' , ,. ... ,. ,. "', l')\\i \"',j,1 " d, ,:1 ',I, I\!,. \ I'll ,.1 . " " ,. ".',",. ,..ii' ,. ,;)1. i 1 . ,lY; I ,I 't'",. . I' j. ,.'" , "I' ') I . ~ ,',' ',I,' "." 1"11,' . , " " " [i ,'j' " " ,. I' " '.t- " .1" .' . I' " " , , i'"I' .' " ,I, ,. \. " "I",',!. "I " ~) i'/II.'!\,1I'1'\ I' ,1. ," ;,"J' l',..',i. <., " '[' ',':' ",.;1 [' , , I ! ~I, ," \' I 1'1.'" f., \. .' "i' I '~ ",1' ,I,. ,'..11' lH ': 11"i , " j; " " " 'I' , 1",1 " '; ~ ' ,. \1' I. 'f'> , ,PI ,'I, ;i ,\~ I:, 'J \ .. \'.1:,' , 'Ii ",,' l' I I; ,,' . ,I' -,,: " \;'1,', " 1,,,1 " Il' , ,. ,Il ,,< rj , , ",11 ')'1' \ :,.-' "'/\';":1 "." , , ,." . '>j' , i ':j'l' 1. I,' I"~ 1'.. " " ,I', .. '. ill , \. ,. (- \, ,. H'l;. "j,1 ,. " 'I 'rl\{\':..,' :di/; '; \ ~ " " 'I" ,oj, .. . " " " " , " " , ,.") ".; ,I" " " , " dl, ,. ,I'." " 'i",. ,,", ,,'I . I I. I " .. :' .. " "I', I; " ", 'II " ..1," \ " " " " ", , " " " ',., " \, '. " " , . , ;.t"'j \' . , 'I Ji', I', , ,i , '\. \\1:, I ", ""', '.," I ','" /1.\- n'., . 1/. " '..... REV.I5QO EX+ 1I1,PII , . '. .~.~i. '~'I '.. ,.-,',. u.. COMMONWEALTH OF PfNN~YlYANI^ O!PAIlMINl Of R\VINUE DEPT. 28060 _IiARRISlURO. PA 17128,0601 I ~ ~~~ 52.. .... ~ ~i oz u2 z o i z o j:: g ~ ~ t, INHllRITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) .0. DATlSO.DIATHAnI.,2/31I9' CHICKH... I' A .POUIAL POV"" ClIDIlI. CLAIMID 0 PILI HUMli. - 1994-00041 COUNTY CODE YEAR NUMBER SEM\lTA. George D. SOCiAlllcURllV mnmr 223 12th Street New Cumberland. PA 17070 Cumberland o 3, Romalnd" Rolurn (for dol.. of doulh prior 10 12.13.B2) o 5, Fedoral Ellale Ta. Relurn Roqulrod _ B, T olal Numb" of Safe Depo,ll Bow romoTli~~TNlH-- 112/05/93 I 08/07/47 Co," o 2, Suppllmonlol Rolu,n [] 4a. Fulu.. Into",1 CompromllO 110, dalel of doolh akor 12.12.82) o 6, Docod,nl Olod Te.tolo 0 7. Oocodent Malnlalnod 0 Living Tru'l _ IAllach copy of Will) __ IAlloch copy of T,ull) AU. COIUSPONDlNC. AND CONFIDINTIAL TAX INPORMATK'IN IHOULD II DIRICTID TO. A OM l M N AO RUS 181-36-3014 [19 1. Orlglnol R,lurn o 4, Llmltod Elfolo John H. Droujos, Esquire l! EPHONrNUMm-- .~ DROUJOS. GILROY & HOUSTON, P.C. 4 North Hanover Street Carlisle, PA 17013 717 -1243-4574 (15) (16)_ Clll'ck 111'11' ., you C11t' II'f1U(...lmu CI lI.lunc! 0' YUUI OVl''1H1VIIU'nl. ( B) 7.096.18 1. Roal E.lato ISthodulo A) ( 1) ____,_,___ 2, Stock I and BondI (Schodulo B) I 2) ___ 3, Clololy Hold Slock/Partnollhlp Inl"ell (Schodul, CI (3) 4, Morlgog.. and Note. Ror.olvablolSchociule D) ( 4) __________ 5, COlh, Bank Depollt, & MllCollonoou, Po..onal Propo'ty( 5) _.L,096.1B (Schedulo EI 6, Jolnlly Ownod Property IS,hodul, F) ( 6) 7, Trande.. ISch.dule GI (Schodulo L) ( 7), 8, .Tolol Groll Au.t, (tolallln.. 1,7) 9, Funoral E.ponlOl, Admlnlllrallvo COli', MI"ollanooul ( 9)~.1l.? 1 . 50 hpon.., (Schodulo HI 10, Dobl., Mortgog, Llabllitlol, L1.nl ISchodule II (10) 11. T 0101 Doductlonl (tolol IIn," 9 & 10) 12, Nol Valuo of Ellolo (line 9 mlnulllno 11) 13, Choritable and Governmental Boquoll' ISchedulo J) 14, Nel Valuo Subloctto To. (IIn. 12 mlnullln. 13) 15, Amount of IIn,14 ta.ablo 01 6% 'ole Ilnclude valuol f,om Schedulo K 0' Schodule M.) 16. Amount of IIno 14 ta.oblo a115% ,alo (Include volulI from Schodul, K 0' Schodule M,) 17, P,lnclpallo, dUlIAdd la. ',am IIno 15 and from IIn.16,) 18, Croditl Spoulal Povorty Clodit Prior Paym,nll Dhcounl IntI/oIl + -------,- +--- - ------ 19, If IIno 18 I, greoll/than IIno 17, ontor th. dlHl/onco un line 19, Thllllth. OVERPAYMENT. gO 20, IIlIno 17 II grenlor than IIno 1 B, onlo, Ih. dlH.ronco an line 20. Thll II Ih. TAX DUE. A. Entor tho Inlor"t on Iho bolanco due an IIno 20A. B, Entor th. lolal of IIno 20 ond 20A on IIn. 20B, Thl. It tho BALANCE DUE. Ma~o Cho.~ Payabl. tOl Rogl,tor al y/III" Agon' .. . I..UI. TO ANIWIR ALl. QUllnONS ON RIVI... IIDI AND TO RICHICK MATH.... , Und.r Plnchl.. of p.rlury. I dlcler.that 1 have IKomln.d lhlt return, Including accompanyIng schedul.. and tlal.mlnh, and 10 thl bllt of my knowledge and blll,f, 11 II truI, corrlCt and compl.I., I dlclor. that nil real 1.1011 has Leen reporlld 01 trut market value, Oeclorallon of pr'paror olk" than th. p.nanal repr..tntallv. II ba,ed on alllnformatlon (If which ~~pur.r has any knowledge, SiONJHin11if0Nill~R 'ITiNgINO N AODRESSJon;; L. SeITIuta, Administratrix' OAl! _ ~")/ 1,1l/?:>> ___223 12th Street, New CumberlnndLPA 17070_ August 4, 1994 II ~~I fTH.\lffMl r AcliRBs .John H. Ilroujlls, Esquire DAlE ___~ -\r-.~Il\ ...~' __~_J'l_~_.I!3,nover St.. Cnrlis,le, I'A 17013 August 4,1994 (11) 10,221.50 (12) -1.1..125.32) (13) (14) 0.125.32) )( ,06 a )( ,15 a (17) , (1 B) (19) 120) _ 120A) _ (20B) IIV.1J01lh fl"'n "I. ... COMMONWlAlTH D. PINNSYWANIA B INHIIITANCI !AX SnuSN _ ""DINT OKIDIN! SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY ~t~r\. 1> CI~Alllt. (All "'''"rtv "'Inti_nod wit the I,ht 01 Survl"."hlp mu,l ~o dllClolOd on Soh.dul. PI 1991 999(1 ITEM NUMBER DESCRIPTION VALUE AT DATI Of DEATH 1. Savings Aooount No, 3099 wi!h Teamsters & Chauffers Federsl Credit Union N3510 2. Savings Aooount No, 059.6713 with Mellon Bank, N,A, S 657.4g S 353.70 S 200,00 S 200.00 $ 2,000.00 S 400.00 3, 4. S. '75 Dodge Truok '77 Chevrolot Sedan '84 Dodge Van 6, '79 Pontlao Grand Prix, VIN 2K37Y92S76S48 7. Burial plots from Tri-Counly Memorial Gardens in the Sennon on !he Mount garden (3 at S84SIplol) 8. 1 Vault from Tri.County Memorial Gardens . S 2,S35.00 S 750.00 ,/,' 18 (A"och oddlllonol 81\" M 11' .h..II If marl IpOCll1 nlOd,d,l CUMBERLAND .111 THE COURT OF COMII,O~ PLEAS OF COU1HY I ORPHANS' COURT DIVISIOIl PEllllSVLVAIlIA II!': r-" ' , " , 1,( "I~ 1.;1 * '* * '1,,11 ""( ;,\ .(; I') '~ : I ::; Fi1 e No. -119441 Cl ()! . . j/\ Estate of GEORGE D. SEMUTA . Deceased -' * /0 /0 1I0TICE OF CLAI11 by. FIRST BANKS Filed Pursuant to Section 3532 (b) (2) of the Prllbate, Estate, and Fiduciary Code, 20 ?a. C.S.A. ~3532 (b) (2). . To the Clerk of the Or?hHS' Court Oivi sion: Enter the claim oi ROBERT J. McCLURG, AGENT FOR FIRs'r BANKS (Claimant) in' the amount of S 692.91 , against the above entitled at 223 12th Street -(S t r e e t Addres s) CUMBERLAND, . Cou n ty . estate. ihe Decedent, who resided New, Cumberland, PA 17070-1608 (Ci ty) Pennsylvania, died on December 5, 1993 ( D ate ) Writt~n notice Df said claim w,as giHn to Joan T" Semuta '" (PHsonal Represent'ltive, or I f known to cl aim~nt I at i23 h1s Counsel) 12th Street, New Cumberland, PA (Address ) '. , Claimant 21214 . C1a1mant's Counsel: , , ,- . . (Xdaress) . . " " I, " I " 'I ,. " ,,' " " 1 I..f ,I. ,', ',\ .-I' "" II' " I' I' I' " ", 'I "". '" "I' " ,. , " I' " I, " "j, I',' I, , , "~ '0 ',I 'I" ,Cl III " ~ nl .... Cl N " 1II ~ , .... tJ N . '0 I' :z: A H 'C fal . 1::, f.!) ~ ,ns ~ .... 0 " ... \0' >0 fal 11l Cl:\O \.l N f.!) ~ fallll ns N >'1':1: 0 ON (l) " tJ . I Is, tol'l< Cl 'l' 0 e-< Cl: 0 \.l 'l' III '~ l:l 0 'l' fal El f<' ~ ~ f',.c ,.., ~' It< <0" 0 "I'll ~ .... .... , ~ , ns '<l' , tJ ll. fll ,'" ,', , , " " ,I' i' " " '1';' , " /' , " " 'i' " ... ~ " , 1 , I' " " 'I, " ,. " ," 'd' o I ~ I, , 'I' i " , 'I ,I "I' " ~ ! il q ~ - ~ ~ " ~ I ~ I -' G . ~ ~f- M .J " Ir WI a l:Id fl ... f- 1 . I - - " . Ii !e I' .... f: I' i "c · j! ;;L g" . ~ ,,:;.. tl ;! .ll~~ ""'" =.\,t,,1l"I ~c . 'l!~ w~ ~as:: o ;~ ::,:;;:; ii' ~ ~ L. Jsl o o r- 'l o o o N o o o C L . i i ! i . WI o /to 1'1 N N " " o " o C ~ ~ ; r WI- "" Vl\llM. .... AZ."" w~i7 u...uo ~I'l.~ !!.~w:: .J .~, II . . . . . . . . . . . " . . . I : I . ..." . g a N I . > . II :: I . x .. I ' . . , . .r =~ :: a:CH.. EIl:t4'. ; ~ :I:ji . , . C , . ;) "c ,. I. : : ... "-I ,. I~ .~~:: ~ ocr'. "" ... , . ~ ~t:: , 1M 0' . C ., . " .. , . , . , . , .J , C , . , . g I ~ . I ~ ; g I " . i ~ a i ~ ~ IE ;1 g ~~ o . n I o o .; N i o o i . o I .J co LO M . U.. " M " L .. .J M C " . u ' = : I ,~ : ~, 11 .., g: . I . r :. WI I ,. r " r I~.;:: ~iMf ~D . .. .M' ~LS:" :: :: E g " , ~ o o i II .. W . . ... . M WI .. il c. tl i i .. a . . I~ ! ~ ~ - G ...... e I- h & - q. - I! I- I I I I * .on." _ -.. '~ .':f I I) " ? ,j;' .1 ,~ lA' ,', ,. > './," :+ ~,1 ' ~~~: ',I ,~ ,i"'- "I/~" I .. ' ~1-: " ':;I. 4190080891223905 GEORGE D SEHUTA STMT DATE 11 7/94 MP'lL AVL .00 CA FEES 0.00 ATD SALES 691 SEQ M RC PC .1 TR/PS/DESC/AMNT '2 REF NO/SIC/MBR ID/PH/TRN ID/CB IND/PS/REIM 1 00100 00/00 .00 00000000000000000000000 0 00000000 0 023346056988066 00 A A 2 00/00 00/00 . . RATE SUMMARY * * .00 00000000000000000000000 0 00000000 0 023346541964786 00 A A 3 00/00 00/00 DAILY RATE ANNUAL RATE NBR OF DAYS .00 AVG DAILY PRINCIPAL BAL 0 00000000 0 023346591534085 00 A A 4 12/07 01/06 .024547\ 8.96\ 31 .00 $691.15 0 00000000 0 023348719023356 00 A A 5 00/00 00/00 NO ACTIVITY SINCE LAST 8TATEMENT .00 00000000000000000000000 0 00000000 0 633351870052520 N 5 NEXT OPTION (MONTH, F-FRWD, B-BKWD, S-DIS STM, C-CANCEL, P-PRINT STATEMENT) , ' , , I I ", . ,.;. "; , p' ,. . , , l" ,. i . ~ ' II. ' '.. ,.,\! I '.' , 1, ," "I;' " I. I 1,'1., ; " ,. ..,: \',1 ' ,.- ,I' '. ., .1 I' . 1', 1.1, ,,' "I, " , '; ',.' I' I', '" , , , , 'I,', , ,I ,. , , '".1' " , .. '.' . . ,. , ", '1\ ' <\' ,. ,. I I ... 1. , , ',' ,,'I "" I, I' . ,. ,. I' I', .. 'I'. , , , , .,.", , ',Ll ' , ,. " '; I" , ' " , . ; ,I , . >" I, " " '1' I', I", " ,. "'l' '", . " , I'; ,'01 ' 'I " '1 " " , I'"~ , .,,( I, I,; 1,'1 ."1., ,"~ I' II 'j" I' 1",1' " " 'I' i,' " " \ j," j' " 'i I"'" , "1 , , ., 1.,1' '1" .' . ,," " " I" d ,. , .\ .- '. , I. "'" " 'j~,. ' JRD/June 30, 1992/17858 REGISTER OF WILLS Cumberland County Courthouse On\! Courthouse Square Carlisle, PA 17013 I" I r NOTICE PURSUANT TO RULE 6.12 PENNSYLVANIA SUPREME COURT ORPHANS I COURT RULFS To: Personal Representative . Counsel: JOHN N. BROUJOS, ESQ., REI I1atate of l':F.nJUlR n !':F.MIJ'I'A I Dec:eased, Lat\! of NEW ~IJMRERr,AND BOROUGH Estate No.: 21-94-41 Date of Decedent's Death: DECEMBER 5 , 1993 Pursuant to Rule 6.12, the above named personal representative or the above nal'1ed attorney, if applicable, within two (2) years of the decedent's death, and annually thereafter until administration Is completed, is l'equlred to file with the Register of Wills a Status Report as required by Rul~ 6.12, in substa1ltlal1y the prescribed form, showing the date by which the personal representative, or attorney. as applicable, reasonably believes administration will be completed, The purpose of this Notice Is to advise you tbat uo1ess the requisite Status Report is flied with the Reglsler of Wills or Clerk of the Orphw' Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Reglstet of WUI. Is requited to DOIIfy the Orphans' Court Division, Court of Common Pleas Clf suclt delinquency and to request Iblt said Court conduct a hearing to determine whether sanctions should be imposed upon the deliDqueat persooal representative and the delinquent personal representative's counsel, If any. AccordlDJly I If tbe requisite Status Report Is not flied by J AN. 29 , 19.2.hou are heteby advised that. request wUl be submitted to the Court In accordnu with Rule 6.12. Date: JAN. 17. 1996 "-fY1..Cl..UIG,'Aw~.{u;0.-I/m. ~ DepUty Register of Wills . ~ Distribution to Estate File " , , < !",/ "1 I; 'I ',. .. ,. I' ; 1,< ; " ,. " - JRD/JuDe 30, 1992/17858 REGISTER OF WILLS Cumberland Count>- Courthouse One Courlhouse Square Carlisle, PA .17013 ", NOTICE PURSUANT TO RULE 6.12 PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES To: Personal Representative JOAN L. SEMU'l'A Counsel: JOHN H. BROUJOS I ESQ. REI Fatate of GEORGE D. SEMUTA I Deceased, Late of NEW CUMBERLAND BOROUGH FalllteNo.: 21-1994-0041 Date of Decedent's Death: DECEMBER 5 I 1993 Pu~uant to Rule 6.12, the above named personal representative or the above nal11~ attorney, If applicable, within two (2) years of the de<:edent's death, and annually thereafter until administration Is completed, Is required to file with the Register of WlIIs a Status Report as required by Rule 6.12, In aubstaotially the prescribed form, showing the date by which the personal representative, or attorney, IS . applicable, reasonably believes administration wlll be completed. The purpose of this Notice is to advisll . you that uoless the requisite Stalus Report is filed with the Register of Wills or Clerk of the Orphans' Court, IS appropriate, within ten (10) calendar days after the date of this Notice that the Register of WUI. is requ~ to notify the Orphans' Court Division, Court of Common Pleas of such delinquency and to request that said Court conduct a hearing to determine whether sanctions should be Imposed upon the delinquent personal representative and the delinquent personal representative's counsel, If any. Accordlagly, If the requisite Status Report Is not tiled by FEBRUARY 1 ~ 19'::' youll'Cl hereby advised that a request will be submitted to the Court in accordillcc with Rule 6.12. , ,~. .' Date: JANUARY 30 I 1997 fY Distribution to Estate File .. , , , . ,.,',.'t. ; ";i,I,1 '.'.'.'\1, , n', , ,t" ., .', "1 ,., ':::':'\}""1 ,'I;, ',':i';::yt!;" ," , '.", ''''II , ,:",",. !'i'!J,l) , "\ " , ,"';,:, $, 'I' </"", /Ift-I ' I, :i 1~ I "l, .. l. I '.' 1'1 J \ jl~' I' ." (Ii :~ " , 1'1,1'1 J,. .I' .\1"" ! tl ., ,!tl'~r.) " , ,r .' NlUlle of Decedent: Date Df Death: Will No. STATUS REPORI UNDER RULE 6.11 George D. Semuta December 5, 1993 Admin, No. 21.94.041 Pursuant to Rule 6.12 of the Supreme Court Orphansl COUI1 Ru1e.q, I repDI1 the following with respect to completion of the administration of the above.captioned estate: I. State whether administration of the estate is complete: Yes 2, If the answer is No, slate when the personal representative reasDnably believes that the administration will be complete: 3. If the answer to No, I is Yes, state the following: FEBRUARY..14, 1997 "" '" t,: <[ c;, ,(J) ,>> "0: m::':; ";t " : ~.. a.. " , : ~' 0- , " ffi (, 15 I.J. '" (i ,h PI &!,CJ: . a. Did the personal representative file a final account with theCDurt'1 No b. The separate Orphans' Court No, (if any) for the personal repre.qentative's aCCDunt is: nla c, Did the personal representative state an account informally to the parties in interest? ND, there was no will and everything went to the wife, WhD is also the personal representative, d. Copies of receipts, relea.qes, joinders and approvals of fDnnal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report, ", " I.) ..' DROUJOS GILROY & HOUSTON PC 4 NORTH HANOVER STREET CARLISLE, PENNSYLVANIA 17013 717/243.4574..717/766.1690 FAX #717/24~-R227 .,.'.:"1 ~~ CAPACITY: COUNSEL FOR PERSONAL REPRESENTATIVE